DR. JUAN A ROSARIO-COLLAZO (MD) – MOHS-Micrographic Surgery Physician, NPI 1457321028

DR. JUAN A ROSARIO-COLLAZO (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. ME-89551 (FL). The NPI Number for DR. JUAN A ROSARIO-COLLAZO (MD) is 1457321028

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUAN A ROSARIO-COLLAZO (MD)
NPI
1457321028
Phone
(904) 731-8300
Address
4479 BAYMEADOWS RD
Enumeration Date
25 January 2006
Last Update Date
22 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9047318300
Graduation Year
2003 (23 years ago)
PAC ID
6800806621
Group Practice PAC ID
4789660994
Professional Enrollment ID
I20060425000015
Address ID
FL322174716JA4479XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,366 DERMATOLOGY in FL

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Provider Addresses for DR. JUAN A ROSARIO-COLLAZO (MD)

  • 4479, Baymeadows Road, Jacksonville, Duval County, Florida, 32217, United States

    JACKSONVILLE, FL 322174716

    Phone: (904) 731-8300

    Fax: (904) 737-7901

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 185 Open Payments records for all available years, with a total value of $4,665.

Total Amount is formed as General ($4,665) + Research ($0) + Ownership ($0) = $4,665.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($1,220).

Total Amount

$4,665

General + Research + Ownership

Payments

185

Total payment records

General Amount

$4,665

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060425000015IDermatologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg12,00056$0
17003Destruction of precancer skin growth, 2-14 growths5,371893$0
99213Established patient office or other outpatient visit, 20-29 minutes2,7951,780$0
17000Destruction of precancer skin growth, 1 growth1,7131,153$0
11102Biopsy of related skin growth, first growth1,126880$0
View full utilization report →

Insurance plans in this area (ZIP 32217)

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Provider's Procedures

DR. JUAN A ROSARIO-COLLAZO (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL11101Biopsy of each additional growth of skin and/or tissue193136
DERMATOLOGYFL14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips3029
DERMATOLOGYFL17003Destruction of 2-14 skin growths2373410

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789660994View full group profile
NameSpecialtyState
Physician AssistantFL
Physician AssistantFL

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Frequently asked questions

How do I look up DR. JUAN A ROSARIO-COLLAZO (MD) by NPI?
Use NPI 1457321028 when you need to reference DR. JUAN A ROSARIO-COLLAZO (MD) in forms, claims, or directories.
Is DR. JUAN A ROSARIO-COLLAZO (MD) currently active in the NPI registry?
CMS-published data lists DR. JUAN A ROSARIO-COLLAZO (MD) as an active registrant.
What kind of provider is DR. JUAN A ROSARIO-COLLAZO (MD)?
The page reflects MOHS-Micrographic Surgery Physician for DR. JUAN A ROSARIO-COLLAZO (MD). Clinical services aligned with this taxonomy classification.
Where is DR. JUAN A ROSARIO-COLLAZO (MD)'s primary listing?
We display Jacksonville, Florida because that is what the record indicates for DR. JUAN A ROSARIO-COLLAZO (MD).
What if Jacksonville, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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